Presents an early stage evaluation model that was used to provide a framework to assess the effectiveness of three comprehensive community initiative projects that were put in place in Nebraska in 1996. Discusses challenges of evaluating these broadbased initiatives and pitfalls in using result-based performance evaluation. (SLD)

Describes experiences in developing a multi-program economic evaluation and costing study of Assertive Community Treatment (ACT), a widely studied community mental health treatment model. The project description shows how the worlds of research and service delivery can collaborate to come to symbiotic resolutions. (Author/SLD)

Outcomes evaluation of community partnerships to prevent substance abuse poses many methodological challenges. The nine articles of this special section illustrate the variety of approaches evaluators have taken to studies that are often complicated because of small sample size. (SLD)

Used qualitative methods to describe beliefs and attitudes related to evaluation and to identify factors influencing evaluation capacity, based on interviews with 61 community-based organizations, 9 health departments, and 28 technical assistance providers. Identified four factors influencing evaluation behavior, and developed a model describing…

The client-oriented cost outcome system provides feedback of the data generated by or for consumers for a program's service planning, delivery, quality control, and evaluation methods. The system's conceptual framework, necessary components, and applications for program evaluation are described. Available from: Pergamon Press, Maxwell House,…

The core roles involved in the evaluation of a community program called "Alternatives," aimed at safer use of medications by seniors, are described as community developer, research/evaluator, and community committee. The types of roles, the conflicts among them, and their positive interactions have implications for other field evaluations. (SLD)

Research on vocational services for methadone clients is reviewed, and preliminary results of an evaluation of a training and employment program for 249 methadone treatment clients in 3 community-based programs are presented. Results suggest the usefulness of vocational services in increasing training access and use. (SLD)

A strategy proposed by T. Cook and D. Campbell (1979) was used to investigate attrition in a community-based literacy program, focusing on 287 Head Start families. Data revealed interactions among intervention program-centered characteristics and person-centered characteristics that have implications for study validity and generalizability.…

This pretest/posttest study used two samples of injecting drug users (184 from street outreach and 103 from a methadone program) to assess drug use and human immunodeficiency virus risk practices. The improvement in risk behaviors at posttest suggests that intervention programs were agents of change. (SLD)

The process used in Papua New Guinea to integrate national and district health planning in a decentralized setting is described, highlighting the key elements of participation, learning by doing, and integration. The importance of this three-pronged approach for program development and application is discussed. (SLD)

This section presents two pragmatic studies focusing on a real-life situation and specific applications in managerial decision making. One study deals with improving occupational safety in a bedding manufacturing plant, whereas the other concentrates on managing a state mental health program. (SLD)

Regression analysis and principal components analysis, which can be used to create perinatal risk profiles of neighborhoods within cities, were compared. Using census tract level low birthweight as the outcome variable, both methods identified factors identifying neighborhoods at risk. Both methods can be used to identify community characteristics…

The seven articles of this special section explore evaluation in South Africa. Particular emphasis is placed on policy development in the areas of health, education, and housing and on efforts to alleviate the legacy of apartheid. Participative and quantitative efforts are described. (SLD)

Seven papers examine key minority populations that are encompassed in local, state, and federal levels of health program planning. The papers are based on methods of evaluation and planning. Projections on the future course of minority health programing are presented. (SLD)